University of Twente Student Theses

Improving insight into the costs of a total hip prosthetic treatment: examining large costs of a total hip prosthetic treatment by the orthopaedic department of Gelre hospitals Apeldoorn: A cost identification analysis

Wijk, Heike R. van der (2013) Improving insight into the costs of a total hip prosthetic treatment: examining large costs of a total hip prosthetic treatment by the orthopaedic department of Gelre hospitals Apeldoorn: A cost identification analysis.

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Abstract:	Background: In a changing health care market in the Netherlands, the wish for insight in costs of treatments rises. The orthopaedic department of the Gelre hospital has expressed the wish to increase their insight into costs of a total hip replacement (THR) by determining a baseline for costs, to improve their negotiating position with the hospital and indirectly the health care insurers. Aim of this thesis was to increase insight into costs of a total hip prosthetic treatment and provide recommendations. The main research question was: How can insight into the costs of a total hip prosthetic treatment by the orthopaedic department of Gelre hospital Apeldoorn be increased? And what lessons can be learned from this increased insight about cost improvement? Methodology: Based on the literature review, we chose to look at the following large cost components: The cost of the hip prosthetic chosen by the orthopaedic department, the costs of the operating room department, and the costs of the nursing department, including medication costs. To investigate these aspects, we performed a retrospective analysis of costs for total hip prosthetic patients in 2011, a time study of the nurses in the orthopaedic nursing department, and a study of material use in the operating room. More information was gathered from several information systems in the hospitals, as well as from expert interviews. A benchmark was performed to analyze differences in efficiency levels (medical, technical and input efficiency) when performing a total hip replacement in Maxima Medical Centre, Gelre hospitals Apeldoorn, and Gelre hospitals Zutphen, compared to general benchmark data. Discussion: Limitations of this study were among others the time setting and the availability of data (information systems not or limited accessible). Different populations are researched for different aspects, which makes comparison more difficult. Conclusion: The orthopaedic department, the Operation Room department, and the nursing department were large cost components, due to the hip prosthetic, the direct care at the nursing department and the treatment at the OR department. The benchmark shows room for improvement, on all efficiency levels.
Item Type:	Essay (Master)
Clients:	Gelre Hospitals Apeldoorn/ Zutphen, Apeldoorn
Faculty:	BMS: Behavioural, Management and Social Sciences
Subject:	85 business administration, organizational science
Programme:	Health Sciences MSc (66851)
Link to this item:	https://purl.utwente.nl/essays/63071
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